Individual provider · Type 1 NPI

Sandra Wilson

Adult Care Home Facility · Port St. Lucie, FL

NPI number 1992610562 Active

Practice location

5926 NW Batchelor Ter
Port St. Lucie, FL 34986-3654

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1992610562

Sandra Wilson's National Provider Identifier is 1992610562, issued on Aug 17, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Port St. Lucie, FL. The record was last updated on Aug 17, 2026.